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1851053771
KELLY LAURO MALLARY
MANDEVILLE, LA
NPI
1851053771
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Former Name
KELLY MARIE LAURO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 3962)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
KELLY LAURO MALLARY LPC-S
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-626-6300
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Mailing Address
KELLY LAURO MALLARY LPC-S
600 CREOLE DR
MADISONVILLE, LA 70447-9243
Phone number: 504-220-7927
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